Type 2 · Organization ✓ Active NPI ✓ Valid NPI checksum

Samuel K Gooldy, MD PC

Q: What is the NPI number for Samuel K Gooldy, MD PC?

The NPI for Samuel K Gooldy, MD PC is 1104975036, a Type 2 (organization) record in the CMS NPPES registry.

Family Medicine Physician in New Hartford, NY · enumerated 2007 · authorized official Samuel Gooldy, President.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1104975036

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Registry record

Entity type Organization (Type 2)

Legal business name Samuel K Gooldy, MD PC

Practice address 1 Oxford Rd, Suite 304, New Hartford, NY, 13413

Phone (315) 724-6611

Fax (315) 724-6366

Enumeration date Jan 9, 2007

Last updated in NPPES Jan 16, 2009

Taxonomy & classification

207Q00000X Family Medicine Physician Allopathic & Osteopathic Physicians Primary

Authorized official

Name Samuel Gooldy

Title President

Phone (315) 724-6611

Other identifiers

Identifier	Type	State	Issuer
00582774	Medicaid	NY	-

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

Read the full guide → Validate an NPI →

Frequently asked questions

What is the NPI number for Samuel K Gooldy, MD PC?

The NPI for Samuel K Gooldy, MD PC is 1104975036, a Type 2 (organization) record in the CMS NPPES registry.

Who is the authorized official for Samuel K Gooldy, MD PC?

NPPES lists Samuel Gooldy (President) as the authorized official for this organization.

Providers at this address

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2009-01-16.